institution
Todd Black Licensed Marriage And Family Therapist Pc
Mental Health Clinic/Center (Including Community Mental Health Center) in San Mateo, California
NPI 1528671674

Todd Black Licensed Marriage And Family Therapist Pc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in San Mateo, CA and is specialized in Mental Health (Including Community Mental Health Center). Todd Black Licensed Marriage And Family Therapist Pc practices in San Mateo, CA. The NPI Number for Todd Black Licensed Marriage And Family Therapist Pc is 1528671674 and holds a License No. (California).

The current practice location address for Todd Black Licensed Marriage And Family Therapist Pc is 120 N El Camino Real, San Mateo, CA and can be reached out via phone at 650-260-8564. You can also correspond with Todd Black Licensed Marriage And Family Therapist Pc through the mailing address at 120 N EL CAMINO REAL, SAN MATEO, CA - 94401-2791 (mailing address contact number: 650-260-8564).

Location: 120 N El Camino Real, San Mateo, CA, 94401-2791
institution
Provider Profile Details
NPI Number
1528671674
Provider Name
Todd Black Licensed Marriage And Family Therapist Pc
Credential
Provider Entity Type
Organization
Address
120 N El Camino Real, San Mateo, CA, 94401-2791
Phone Number
650-260-8564
Fax Number
Provider Enumeration Date
08/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
120 N El Camino Real
City
State
Zip
94401-2791
Phone Number
650-260-8564
Fax Number
person
Provider Business Mailing Address Details
Address
120 N El Camino Real
City
State
Zip
94401-2791
Phone Number
650-260-8564
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
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Definition
Definition to come...
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